Individual provider · Type 1 NPI
Shannon Marie Bradshaw
Addiction (Substance Use Disorder) Counselor · Grandview, OH
NPI number
1720506769
Active
Practice location
751 Northwest Blvd Ste 200
Grandview, OH 43212-1977
Mailing address
896 Thomas Rd
Columbus, OH 43212-3717
Other practice locations
- 960 Boardman Canfield Rd, Boardman, OH 44512-4220 · (330) 259-8813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
About NPI 1720506769
Shannon Marie Bradshaw's National Provider Identifier is 1720506769, issued on Aug 30, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grandview, OH. The record was last updated on Sep 11, 2025.